Prevalence of occult cochlear basal turn patency

2020 ◽  
Vol 140 (11) ◽  
pp. 889-892
Author(s):  
Varun V. Varadarajan ◽  
Orrin L. Dayton ◽  
Reordan O. De Jesus ◽  
Patrick J. Antonelli
Keyword(s):  
1979 ◽  
Vol 87 (6) ◽  
pp. 818-836 ◽  
Author(s):  
Joseph B. Nadol

Three human temporal bones with presbycusis affecting the basal turn of the cochlea were studied by light and electron microscopy. Conditions in two ears examined by light microscopy were typical of primary neural degeneration, with a descending audiometric pattern, loss of cochlear neurons in the basal turn, and preservation of the organ of Corti. Ultrastructural analysis revealed normal hair cells and marked degenerative changes of the remaining neural fibers, especially in the basal turn. These changes included a decrease in the number of synapses at the base of hair cells, accumulation of cellular debris in the spiral bundles, abnormalities of the dendritic fibers and their sheaths in the osseous spiral lamina, and degenerative changes in the spiral ganglion cells and axons. These changes were interpreted as an intermediate stage of degeneration prior to total loss of nerve fibers and ganglion cells as visualized by light microscopy. In the third ear the changes observed were typical of primary degeneration of hair and supporting cells in the basal turn with secondary neural degeneration. Additional observations at an ultrastructural level included maintenance of the tight junctions of the scala media despite loss of both hair and supporting cells, suggesting a capacity for cellular “healing” in the inner ear. Degenerative changes were found in the remaining neural fibers in the osseous spiral lamina. In addition, there was marked thickening of the basilar membrane in the basal turn, which consisted of an increased number of fibrils and an accumulation of amorphous osmiophilic material in the basilar membrane. This finding supports the concept that mechanical alterations may occur in presbycusis of the basal turn.


1992 ◽  
Vol 65 (773) ◽  
pp. 370-374 ◽  
Author(s):  
Peter D. Phelps
Keyword(s):  

1997 ◽  
Vol 78 (1) ◽  
pp. 261-270 ◽  
Author(s):  
N. P. Cooper ◽  
W. S. Rhode

Cooper, N. P. and W. S. Rhode. Mechanical responses to two-tone distortion products in the apical and basal turns of the mammalian cochlea. J. Neurophysiol. 78: 261–270, 1997. Mechanical responses to one- and two-tone acoustic stimuli were recorded from the cochlear partition in the apical turn of the chinchilla cochlea, the basal turn of the guinea pig cochlea, and the hook region of the guinea pig cochlea. The most sensitive or “best” frequencies (BFs) for the sites studied were ∼500 Hz, 17 kHz, and 30 kHz, respectively. Responses to the cubic difference tone (CDT), 2 F 1 − F 2 (where F 1 and F 2 are the frequencies of the primary stimuli), were characterized at each site. Responses to the quadratic difference tone (QDT), F 2 − F 1, were also characterized in the apical turn preparations (QDT responses were too small to measure in the basal cochlea). The observed responses to BF QDTs and CDTs and to BF CDTs at each site appeared similar in many ways; the relative magnitudes of the responses were highest at low-to-moderate sound pressure levels (SPLs), for example, and the absolute magnitudes grew nonmonotonically with increases in the level of either primary ( L 1 or L 2) alone. The peak effective levels of the CDT and QDT responses were also similar, at around −20 dB re L 1 and/or L 2. In other respects, however, the responses to CDTs and QDTs and to BF CDTs at each site behaved quite differently. At low-to-moderate SPLs, for example, most CDT phase leads decreased with increases in either L 1 or L 2, whereas most QDT phase leads increased with increasing L 1 and varied little with L 2. Most CDT responses also varied monotonically with equal-level primaries (i.e., when L 1 = L 2), whereas most QDT responses varied nonmonotonically. Different responses also varied in different ways when F 1 and F 2 were varied. Apical turn QDT responses were observed over a very wide F 1/ F 2 range ( F 1 =1–12 kHz), but were usually largest for stimuli <2–4 kHz. Apical turn CDT levels decreased (at rates of ∼40–80 dB/octave) only when the frequency ratio F 2/ F 1 increased beyond ∼1.4–1.5. In the basal turn and hook regions, the CDT levels depended nonmonotonically on F 2/ F 1, with the eventual rates of decrease being ∼200 dB/octave. Optimal frequency ratios for the CDT increased from ( F 2 < 1.1 F 1) to ( F 2 ≈ 1.2 F 1) with increasing SPL in the basal turn, but were stable at around F 2/ F 1 ≈ 1.05 in the hook region. CDT phase leads tended to increase with increasing F 2/ F 1 in all three regions of the cochlea, particularly at low-to-moderate SPLs. These findings are discussed in relation to previous studies of cochlear mechanics, physiology, and psychophysics.


2016 ◽  
Vol 65 ◽  
pp. S16
Author(s):  
Anjali Singla ◽  
D. Sahni ◽  
A. Gupta ◽  
T. Gupta ◽  
A. Aggarwal

2015 ◽  
Vol 36 (2) ◽  
pp. 323-328 ◽  
Author(s):  
Anjali Singla ◽  
Daisy Sahni ◽  
Ashok Kumar Gupta ◽  
Anjali Aggarwal ◽  
Tulika Gupta

2017 ◽  
Vol 158 (2) ◽  
pp. 350-357 ◽  
Author(s):  
Juan Carlos Cisneros Lesser ◽  
Rubens de Brito ◽  
Graziela de Souza Queiroz Martins ◽  
Eloisa Maria Mello Santiago Gebrim ◽  
Ricardo Ferreira Bento

Objective To evaluate cochlear trauma after cochlear implant insertion through a middle fossa approach by means of histologic and imaging studies in temporal bones. Study Design Prospective cadaveric study. Setting University-based temporal bone laboratory. Subjects and Methods Twenty fresh-frozen temporal bones were implanted through a middle cranial fossa basal turn cochleostomy. Ten received a straight electrode and 10 a perimodiolar electrode. Samples were fixed in epoxy resin. Computed tomography (CT) scans determined direction, depth of insertion, and the cochleostomy to round window distance. The samples were polished by a microgrinding technique and microscopically visualized to evaluate intracochlear trauma. Descriptive and analytic statistics were performed to compare both groups. Results The CT scan showed intracochlear insertions in every bone, 10 directed to the middle/apical turn and 10 to the basal turn. In the straight electrode group, the average number of inserted electrodes was 12.3 vs 15.1 for the perimodiolar group ( U = 78, P = .0001). The median insertion depth was larger for the perimodiolar group (14.4 mm vs 12.5 mm, U = 66, P = .021). Only 1 nontraumatic insertion was achieved and 14 samples (70%) had important trauma (Eshraghi grades 3 and 4). No differences were identified comparing position or trauma grades for the 2 electrode models or when comparing trauma depending on the direction of insertion. Conclusion The surgical technique allows a proper intracochlear insertion, but it does not guarantee a correct scala tympani position and carries the risk of important trauma to cochlear microstructures.


2013 ◽  
Vol 284-287 ◽  
pp. 1552-1558
Author(s):  
Jen Fang Yu ◽  
Kun Che Lee

This research aims to characterize the geometry of the human cochlear spiral in vivo by measuring curvature and length. Magnetic resonance imaging (MRI) was used to visualise the human inner ear in vivo. The inner ear was imaged in 12 ears in 7 subjects recruited. Visualisation of the cochlear spiral was enhanced by T2 weighting and further processing of the raw images. The spirals were divided into 3 segments: the basal turn segment, the middle turn segment and the apex turn segment. The length and curvature of each segment were measured. The measured lengths of cochlear spiral are consistent with data in the literature derived from anatomical dissections. Overall, the apex turn segment of the cochlear had the greatest degree of curvature. A detailed description of the cochlear spiral is provided, using measurements of curvature and length. This data will provide a valuable reference in the development of cochlear implantation procedures.


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